# HEALTHY LIFE PHYSICIANS GROUP PACIFIC NORTHWEST, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467271320
- **Authorized official:** EMILY DAVIAU SMITH MD (PRESIDENT)
- **Authorized official phone:** (617) 505-1520

## Contact information

- **Practice address:** 1455 NW LEARY WAY STE 400, SEATTLE, WA 98107-5138
- **Practice address phone:** (617) 505-1520
- **Practice address fax:** (617) 928-8401
- **Mailing address:** 109 STATE ST., 5TH FL, BOSTON, MA 02109-2906
- **Mailing address phone:** (617) 505-1520
- **Mailing address fax:** (617) 928-8401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 03/18/2026
